Individual
BRIAN SELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2780 CLEVELAND AVE, SUITE 709, FORT MEYERS, FL 33901-5857
(239) 343-3831
(239) 343-2301
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34005316
OH
207Q00000X
Family Medicine Physician
Primary
OS10364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010648100
—
FL
05
—
0924147
—
OH
Enumeration date
09/15/2006
Last updated
05/28/2020
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